El blog de Fidelis Care

The following section of the Fidelis Care authorization grids have been updated effective August 1, 2025.   The following code has been added on the Medicare, Medicaid, Essential Plan, and Metal-Level Products Authorization Grids and require prior authorization: III.       Outpatient surgery: P. CAR-T Therapy: Q2058   Visit:  Authorization Grids

Fidelis Care will host three Provider Office Hours in July 2025. During the webinar, Fidelis Care staff will be available to share information, provide an overview of provider resources, and answer your questions. Provider Office Hours – July 2025   Topic: Fidelis Care – Back to Basics When:  Thursday, July 10th – 9AM – 10AM EST Click here to register*   Topic: Claims and COB Overview When:  Thursday, July 24th – 2PM – 3PM EST Click here to

Mientras pasamos tiempo al aire libre este verano, Fidelis Care le comparte formas para disfrutar de una vida exterior sin plagas. 1. Use repelente de insectos. Las garrapatas y mosquitos transportan enfermedades que pueden ser un riesgo grave para la salud. Aplique repelente de insectos en su piel y ropa para reducir el riesgo. 2. Elimine o evite el agua estancada. Los mosquitos colocan sus huevos en agua estancada. Reduzca las probabilidades de sufrir picaduras eliminando el agua estancada (bebederos para aves, estanques y macetas) de su jardín.

Fidelis Care would like to remind our providers of plan changes for Ambetter From Fidelis Care and Essential Plans in response to a recent NY Senate Bill addressing copayments for PrEP and PEP medications.  The in-network cost share for members will be waived for medications used for PrEP and PEP, provided that an appropriate ICD-10 diagnosis code is documented on the prescription sent to the Pharmacy. Below are updated lists of medications indicated for PrEP and/or PEP. PrEP Medications: Descovy Tab 200-25 MG Apretude INJ 600 MG/3 ML Tuvada 200-300MG; Emtricitabine-tenofovir 200-300MG PEP Medications: Tivicay Tab 50 MG Isentress Tab 400 MG Darunavir

¿Sabía que el calor es la principal causa de muerte relacionada con el tiempo en los Estados Unidos? La mayoría de las muertes relacionadas con el calor pueden evitarse. Este verano, Fidelis Care comparte formas de mantenerse seguro y saludable con el calor y el sol.